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Record W2001429344 · doi:10.12968/hosp.2003.64.3.1804

Examine the patient first, then look at the X-ray

2003· article· en· W2001429344 on OpenAlex
WR Anderson, RJ Davies, APD Cave

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueHospital Medicine · 2003
Typearticle
Languageen
FieldMedicine
TopicThermal Regulation in Medicine
Canadian institutionsSt Mary's Hospital Centre
Fundersnot available
KeywordsMedicineCystoscopyAnusAbdominal painUrinary systemAbdomenSurgeryAnatomy

Abstract

fetched live from OpenAlex

A56-year-old woman was admitted acutely with sepsis of unknown origin. She described a 2-day history of offensive-smelling urine, rigors and lower abdominal pain. Her axillary temperature was 39.6°C, her white cell count was 24.2x109/litre and a midstream urine analysis showed a large numbers of white cells. She was treated with intravenous antibiotics and subsequent urine culture grew Escherichia coli and Proteus species. An abdominal ultrasound scan revealed a highly echogenic linear structure within the bladder (Figure 1). Plain abdominal radiography indicated that this was a clinical thermometer (Figure 2). Once clinically stable, she proceeded to cystoscopy under general anaesthetic, with endoscopic extraction of an intact but highly-encrusted mercury thermometer (Figure 3). Her subsequent recovery was uneventful. The patient adamantly denied placing the thermometer within her own bladder. Instead, she believed that someone had mistaken her urethra for her anus when measuring her rectal temperature several years earlier. However, the most interesting feature of this case is not the X-ray appearance itself. Most notably, it was discovered that, while living elsewhere, her previous GP had organized a plain abdominal X-ray 1 year beforehand to investigate her recurrent urinary tract infections. This film was reported as being normal, but the following comment was made: ‘The patient appears to have been lying on a thermometer when the X-ray was taken. This is an artefact.’ No further tests were ordered at that time as her symptoms subsequently settled.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.113
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.010
GPT teacher head0.236
Teacher spread0.226 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it